# NADER TEHRANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013322973
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 125.064955 | IL | — |
| 2086S0129X | Vascular Surgery Physician | 036.149554 | IL | Yes |

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 10/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 036110448 | STATE LICENSE | IL |
